Individual provider Active NPI

Andrei San-Marina, MD

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1922117142
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD28976 Issued in OR
Practice address
940 General Booth Blvd
Virginia Beach, VA 23451-4861
Phone
(757) 325-4610
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD28976 OR Primary

Addresses

Primary practice location

940 General Booth Blvd
Virginia Beach, VA 23451-4861

Mailing address

1033 28TH Street
Newport News, VA 23607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000596 VA Practitioner - Internal Medicine 8527125269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Institute for Community Health IncGroup PAC ID 9234040148, 9 clinicians

Practice addresses (Care Compare)

104 N Witchduck Rd
Virginia Beach, VA 23462-6506
Phone (757) 385-2437

157 N Main St
Suffolk, VA 23462-6506
Phone (757) 925-1866

940 General Booth Blvd
Virginia Beach, VA 23451-4861
Phone (757) 425-3610

Hospital & facility affiliations

  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD28976ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc Current Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince May 20, 2011 Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients
Oceana Urgent Care and Family Practice Past Accepting new patients

Locations

490 Liberty St
Chesapeake, VA 23324
Phone (757) 228-1288

1357 Armory Dr
Franklin, VA 23851
Phone (757) 304-5570

4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709

9294 Warwick Blvd
Newport News, VA 23607
Phone (757) 223-7001

15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400

1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643

1033 28th St
Newport News, VA 23607
Phone (757) 591-0643

157 N Main St
Ste A
Suffolk, VA 23434
Phone (757) 925-1866

104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437

940 General Booth Blvd
Ste A
Virginia Beach, VA 23451
Phone (757) 425-3610

Interoperability endpoints

  • Direct secure messaging: andrei.sanmarina@sevhs.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1922117142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 28TH STREET",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514861",
            "telephone_number": "757-325-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN-MARINA",
        "first_name": "ANDREI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD28976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.